Custom Foot Orthotics in St. Augustine and Palatka, FL
Personalized Orthotic Solutions for Better Foot Support and Lasting Pain Relief
At Coastal Foot & Ankle Wellness Center, our board-certified foot and ankle surgeons offer custom foot orthotics in St. Augustine and Palatka to address these underlying biomechanical issues. Each pair is designed around your foot structure, gait, symptoms, and lifestyle to improve function, relieve pain, and reduce the risk of recurring problems.
What Are Custom Foot Orthotics?
Custom foot orthotics are prescription shoe inserts that are tailored to your symptoms, daily routine, and treatment goals. They are often recommended to alleviate pain caused by a variety of foot and ankle conditions, promote healthier foot function, and help you stay active with greater comfort.
Orthotics fit inside most everyday shoes, including athletic shoes, work boots, and many casual styles. Depending on your needs, they may be made from firm materials that provide greater stability or softer materials that cushion sensitive areas and relieve pressure.
This practice is one of the best. Their level of care and attention is top-notch. As someone with diabetes, I know that foot care is one of the most important aspects of maintaining good health. From routine checkups to minor procedures, they will take excellent care of you.
Dr. Concha is a wonderful physician—attentive, compassionate, and committed to providing exceptional care, often tempered with blunt but necessary truths. Drs. Johnson and Ivankiv should not be overlooked, either. Although they are not the doctors I see most often, their professionalism and genuine concern for their patients inspire confidence and trust.
If you are experiencing any issues with your feet, do not hesitate to visit this practice. Schedule an appointment as soon as possible. It could make all the difference in receiving outstanding care and preventing the progression of foot-related disease.
–Miguel A
Conditions Commonly Treated with Custom Orthotics
Many foot and ankle conditions are related to abnormal biomechanics rather than injury alone. Custom orthotics help improve these mechanics while reducing strain and discomfort.
Our podiatrists frequently prescribe custom orthotics for conditions including:
- Plantar fasciitis
- Heel pain
- Flat feet (pes planus)
- High arches (pes cavus)
- Tendinitis
- Posterior tibial tendon dysfunction
- Ball-of-foot pain (metatarsalgia)
- Arthritis
- Bursitis
- Diabetic foot conditions
- Neuromas
- Mild foot instability
- Overuse injuries
Custom orthotics are often combined with stretching, footwear recommendations, physical therapy, and other conservative treatments for optimal results.
Custom Orthotics vs. Store-Bought Inserts
Many people wonder whether over-the-counter inserts offer the same benefits as prescription orthotics. While store-bought inserts may provide temporary cushioning, they are manufactured using generic foot shapes and cannot correct individual biomechanical problems.
Custom orthotics are different because they are:
- Individually prescribed by a podiatrist
- Designed from a detailed evaluation of your feet
- Made from durable medical-grade materials
- Intended to improve foot mechanics rather than simply add cushioning
For patients with chronic pain, structural abnormalities, or complex medical conditions, custom orthotics often provide more effective and longer-lasting support than retail insoles.
Our Custom Orthotic Evaluation Process
At Coastal Foot & Ankle Wellness Center, every orthotic prescription begins with a thorough evaluation to identify the cause of your symptoms.
During your appointment, your podiatrist may evaluate:
- Your medical history
- Foot structure and alignment
- Walking pattern (gait)
- Range of motion
- Areas of abnormal pressure
- Existing foot or ankle conditions
- Current footwear
Based on these findings, we determine whether custom orthotics are appropriate for you.
Types of Foot Orthotics
Not every patient requires the same type of orthotic device. Depending on your diagnosis, your prescription may include:
Functional Orthotics
Functional orthotics are made to improve foot alignment and control abnormal motion. These devices are commonly recommended for plantar fasciitis, flat feet, tendon disorders, and sports-related injuries.
Accommodative Orthotics
Accommodative orthotics use softer materials to cushion the feet and reduce pressure on sensitive areas. They are often beneficial for patients with diabetes, arthritis, painful calluses, or other conditions that necessitate additional cushioning and pressure relief.
Benefits of Custom Foot Orthotics
Prescription orthotics offer a range of benefits, including:
- Reduced heel and arch pain
- Improved foot alignment
- Better balance and stability
- Decreased stress on joints
- Greater comfort while standing or walking
- Enhanced athletic performance
- Lower risk of recurring overuse injuries
When Should You See a Podiatrist About Orthotics?
Consider scheduling an evaluation if you experience:
- Persistent foot pain lasting more than a few weeks
- Heel pain that returns repeatedly
- Arch pain during daily activities
- Foot pain that limits exercise
- Frequent ankle instability
- Uneven shoe wear
- Foot discomfort despite supportive footwear
- Diabetes and recurring pressure areas or ulcers
Early evaluation allows us to identify and address biomechanical problems before they contribute to more serious foot or joint conditions.
Why Choose Coastal Foot & Ankle Wellness Center?
Our experienced team of board-certified foot and ankle surgeons, including Dr. José Concha, Dr. Roman Ivankiv, and Dr. Richard Johnson, brings more than 70 years of combined experience diagnosing and treating foot and ankle conditions. Rather than simply treating symptoms, we identify the underlying cause of your discomfort and develop a personalized care plan to relieve pain, improve mobility, and prevent future problems.
With offices in St. Augustine and Palatka, we’re proud to provide compassionate, evidence-based foot and ankle care to patients throughout Northeast Florida.
Frequently Asked Questions About Custom Foot Orthotics
Are custom orthotic inserts better than store-bought inserts?
How long do custom orthotics last?
Will I need to wear orthotics all the time?
Can orthotics help plantar fasciitis?
Does insurance cover custom orthotics?
Treatment
In order to ensure your orthotic is doing its job, it’s recommended that you keep a healthy line of communication with your podiatrist and visit at their requested schedule. Doing this will keep track of gradual improvement and will allow you to discuss any possible adjustments needed. If you feel orthotics are a treatment option for you, we recommend you meet with a podiatrist for a proper diagnosis and to discuss how to improve your foot health.



